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NPI Code Detail

MEDICARE: DR. CHERYL ANN DENICK M.D.

MEDICARE:  DR. CHERYL ANN DENICK  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician0101251886VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101863869-01OTHERPAAMERICHOICE
220045115OTHERPAAMERIHEALTH MERCY
3810300818OTHERPAPHCS
40533292000OTHERPAKEYSTONE IBC
507645OTHERPAHEALTH PARTNERS
61974042OTHERPAFIRST HEALTH
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
801863869-02OTHERPAAMERICHOICE
9698314OTHERPAHIGHMARK BLUE SHIELD
10MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
111090988OTHERPAKEYSTONE MERCY
127887164OTHERPACIGNA
1301863869-03OTHERPAAMERICHOICE
14MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15698314OTHERPAPERSONAL CHOICE
16452729OTHERPAAETNA CONTRACT

General Provider Information

NPI Number : 1548294739
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHERYL ANN DENICK M.D.
Provider Business Mailing Address
First Line : ONE MEDICAL CENTER BLVD
Second Line :
City : UPLAND
State : PA
Zip : 19013
Country : US
Telephone Number : 610-447-6370
Fax Number : 610-447-6373
Provider Business Practice Location Address
First Line : 2401 PARK DR STE 101
Second Line :
City : HARRISBURG
State : PA
Zip : 17110-9303
Country : US
Telephone Number : 717-686-9842
Fax Number : 844-803-8108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 03/11/2021

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Directions to “ DR. CHERYL ANN DENICK M.D.” Practice Location

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